Ailsworth, Karen S

Ailsworth, Karen S is an individual health care provider with primary practice located at 1700 Tuttle St , Baraboo WI 53913-3319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ailsworth, Karen S can be contacted via phone (608) 355-3800.

Contact Information

Primary practice address
1700 Tuttle St Baraboo WI 53913-3319
Fax: (608) 355-7001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35472-020 Wisconsin

Profile Details

NPI number 1467418335
LBN Legal business name Ailsworth, Karen S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Feb 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467418335 NPPES
Wisconsin MEDICAID 32039800
Wisconsin Other 1000147
Wisconsin Other 4275

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